Organization Active NPI

Northeast Orthopedics Inc

  • Specialist
  • Westerville, OH
National Provider Identifier
1043373459
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHEAST ORTHOPEDICS INC
Practice address
164 Wetherby LN
Westerville, OH 43081-4957
Phone
(614) 839-2300
Fax
(614) 839-2301
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Merle Kennedy, MD
Title
Physician
Phone
(614) 839-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OH Primary

Addresses

Primary practice location

164 Wetherby LN
Westerville, OH 43081-4957

Mailing address

164 Wetherby LN
Westerville, OH 43081-4957
Phone (614) 839-2300

Other identifiers 2

IdentifierTypeStateIssuer
2303064MedicaidOH
5126128OtherAETNA

National Provider Directory

National Provider Directory

Locations

164 Wetherby Ln
Westerville, OH 43081
Phone (614) 392-1880

495 Cooper Rd
#418
Westerville, OH 43081
Phone (614) 898-6656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1043373459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WETHERBY LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814957",
            "telephone_number": "614-839-2300",
            "fax_number": "614-839-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WETHERBY LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814957",
            "telephone_number": "614-839-2300",
            "fax_number": "614-839-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ORTHOPEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MERLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "614-839-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2303064",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5126128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.